Evaluating mechanism and severity of injuries among trauma patients admitted at Sina Hospital, the National Trauma Registry of Iran

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Evaluating mechanism and severity of injuries among trauma patients admitted at Sina Hospital, the National Trauma Registry of Iran


JournalChinese Journal of Traumatology
Article typeJournal research article – Clinical research
Publication date – Feb – 2021
Authors – Mina Saeednejad, Mohammadreza Zafarghandi, Narjes KhaliliVali Baigi, Moein Khormali, Zahra Ghodsi, Mahdi Sharif-Alhoseini, Gerard M. O’Reilly, Khatereh Naghdi, Melika Khaleghi-Nekou, Seyed mohammad Piri, Vafa Rahimi-Movaghar, Somayeh Bahrami, Marjan Laal, Mahdi Mohammadzadeh, Esmaeil Fakharian, Habibollah Pirnejad, Hamid Pahlavanhosseini, Payman SalamatiHomayounSadeghi-Bazargani
KeywordsAbbreviated Injury Scale, Injury Severity Score, Multiple trauma, registries, Wounds and Injuries
Open access – Yes
SpecialityEmergency surgery, Trauma and orthopaedic surgery, Trauma surgery
World region Middle East
Country: Iran
Language – English
Submitted to the One Surgery Index on February 16, 2021 at 8:03 am
Abstract:

Abstract
Purpose
Injuries are one of the leading causes of death and lead to a high social and financial burden. Injury patterns can vary significantly among different age groups and body regions. This study aimed to evaluate the relationship between mechanism of injury, patient comorbidities and severity of injuries.

Methods
The study included trauma patients from July 2016 to June 2018, who were admitted to Sina Hospital, Tehran, Iran, for 2 years. The inclusion criteria were all injured patients who had at least one of the following: hospital length of stay more than 24 h, death in hospital, and transfer from the intensive care unit of another hospital. Data collection was performed using the National Trauma Registry of Iran (NTRI) minimum dataset.

Results
The most common injury mechanism was road traffic injuries (49.0%), followed by falls (25.5%). The mean age of those who fell was significantly higher in comparison with other mechanisms (p < 0.001). Severe extremity injuries occurred more often in the fall group than in the vehicle collision group (69.0% vs. 43.5%, p < 0.001). Moreover, cases of severe multiple trauma were higher amongst vehicle collisions than injuries caused by falls (27.8% vs. 12.9%, p = 0.003).

Conclusion
Comparing falls with motor vehicle collisions, patients who fell were older and sustained more extremity injuries. Patients injured by motor vehicle collision were more likely to have sustained multiple trauma than those presenting with falls. Recognition of the relationship between mechanisms and consequences of injuries may lead to more effective interventions.

OSI Number – 20938

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